An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

informs the patients physician about the drug noncompliance

checks the drug guide to see if decreasing the frequency if the drugs is possible

asks the patients spouse to consistently administer the drugs

teaches the patient to administer daily pills with a pill dispenser

Answer and Explanation

The Correct Answer is D

A.   While it's important to communicate any concerns about medication adherence with the physician, the nurse should first try to address the underlying issue, which in this case is the patient's memory impairment.
B.   While decreasing the frequency of medications may be possible in some cases, it's important to consult with the physician before making any changes to the medication regimen.
C.   Relying on a family member to administer medications can be problematic, as it may not be feasible for them to do so on a regular basis. It's important for the patient to take responsibility for their own medication management, with the support of the nurse.
D.   Memory impairment is a common problem in older adults and can affect medication adherence. Using a pill dispenser can help patients remember when to take their medications. Pill dispensers are often organized by day and time, making it easier for patients to keep track of their medication schedule.

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Correct Answer is A

Explanation

A. Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.

B. While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C. ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D. ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.

A. review the listed medications for possible interactions B. explain to the patient the dangers of taking so many different medications C. evaluate the patients understanding of why he is taking each medication D. confirm with the physician that all the medications are required

Correct Answer is A

Explanation

A. When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B. While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C. This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D. While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

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An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

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